Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,093.00 / $3,753.00 / $13,004.00	Facility		$1,093.00	$3,753.00	$13,004.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,609.42 / $2,888.53 / $39,314.46	Facility		$1,609.42	$2,888.53	$39,314.46
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,465.23 / $23,873.14 / $23,873.14	Facility		$1,465.23	$23,873.14	$23,873.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,780.07 / $1,780.07 / $1,780.07	Facility		$1,780.07	$1,780.07	$1,780.07
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $176.68 / $176.68 / $176.68	Facility	AS	$176.68	$176.68	$176.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $11,000.00 / $15,921.72	Facility		$55.00	$11,000.00	$15,921.72
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $338.75 / $722.70 / $763.43	Facility	AS	$338.75	$722.70	$763.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,504.95 / $1,936.91 / $3,238.50	Facility		$1,504.95	$1,936.91	$3,238.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,504.95 / $1,940.98 / $3,397.23	Facility		$1,504.95	$1,940.98	$3,397.23
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $603.34 / $603.34 / $603.34	Facility	80	$603.34	$603.34	$603.34
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $176.68 / $176.68 / $512.84	Facility	AS	$176.68	$176.68	$512.84
United Facility/Professional Facility Modifier Low / Median / High Price $4,600.00 / $9,453.00 / $20,955.00	Facility		$4,600.00	$9,453.00	$20,955.00